There is no publicly available, solid evidence to show that such outsourcing generates savings for governments. But it could.
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In the lead-up to the budget on May 13, the Tony Abbott government is looking for ways to make the health dollar go further. In 2011-12 the federal government spent A$14.4 billion on public and private…
The polls this week suggest half of Australians think the Abbott government should reduce the cost of Medicare. My solution? Claw back some of the A$9 billion the government pays to private hospitals…
Finding ways to deliver high-quality care at an affordable cost to the nation is just as important as finding cures for diseases.
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It seems that almost every politician, health economist, policy expert and health-care worker has a different take on the state of the nation’s health system and ways to make it more sustainable. But notably…
The cost of operations varies from hospital to hospital but a higher price doesn’t equal better care.
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Public hospital spending has been the single fastest-growing area of government spending over the past decade. As governments, policymakers and economists put health spending under the microscope, it’s…
Rather than looking back, we need to decide on the future foundations of Australia’s health system.
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Treasurer Joe Hockey and health minister Peter Dutton have been in overdrive this past week lowering expectations for the May budget and reminding Australians that its 30-year-old Medicare system is “unsustainable…
Government spending is already targeted toward poorer households.
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Should the rich pay more for their health care? This question has raised its ugly head again after health minister Peter Dutton announced the Coalition government was considering more user-pays options…
Big announcements aren’t the answer – the health system needs a long-term plan.
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This year is crunch time for Prime Minister Tony Abbott’s health policies. The financing and policy changes from the Rudd-Gillard government are finally taking effect and the National Commission of Audit…
Medicare guarantees free public hospital care and funds a range of primary care and other health services.
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Medicare is Australia’s universal health scheme. It is a Commonwealth government program that guarantees all citizens (and some overseas visitors) access to a wide range of health services at little or…
Some Australians are struggling to get timely access to affordable health care.
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Tomorrow marks an important Australian milestone: 30 years of Medicare and the guarantee of universal access to health care. Before Medicare, it was not that uncommon for people to avoid using health-care…
Medicare Locals plan for better, tailored health services by drawing on local knowledge.
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Primary health care in Australia is a messy beast, with many heads and all sorts of body parts. But it’s centrally important because it plays a major role in achieving public health outcomes, such as better…
Co-payments are an unfair tool for reducing health costs.
Alex E. Proimos
As a GP, when I prescribe a drug, I need to know its likely benefits and risks, and I need to base my decision-making on the best available evidence. I’d like to think the same principle applies to the…
Innovative health policy solutions could help the health budget and improve patients’ health.
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Consensus and evidence suggests a compulsory co-payment of A$6 for a visit to the general practitioner will reduce population health but might save some money. Can we not try a bit harder and think of…
The financial pain of a A$6 co-payment won’t increase health literacy or self-management.
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Incremental creep and massive holes in universal health coverage (think dental care) have left many Australians questioning whether there’s any such thing as “free health care”. One recent study estimated…
GPs and hospitals aren’t incentivised to properly manage demand, which has contributed to the crisis in Accident & Emergency.
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Our increasing use of hospital services is out of control and unsustainable and is contributing to the current crisis in accident and emergency (A&E). But the problem isn’t new and 30 years of NHS…
Based on current evidence, expanding these services is the right thing to do.
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In the ninth part of our series Health Rationing, Stephen Duckett examines the government’s decision to extend the breast cancer screening program. As one of many pre-budget teasers, Health Minister Plibersek…
Health rationing assessments compare different aspects of health such as pain, anxiety, mobility and social interactions – but what’s more important?
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In the seventh part of our series Health Rationing, Richard Norman and Rosalie Viney explain the controversial system governments use to decide what will and won’t be covered under Australia’s universal…
The health budget isn’t limitless: decisions have to be made about to how to allocate funding between competing choices.
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In the sixth part of our series Health Rationing, Mark Mackay examines the latest think tank blueprint to rein in Australia’s rising health costs. But he warns that before funding models are adjusted…
The current fee-for-service model makes it difficult to contain costs and boost the quality of care.
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In the fourth part of our series Health Rationing, Peter Sivey explains why it might be time to abandon Medicare’s fee-for-service model. Teachers aren’t paid a fee for each lesson they teach, nor are…
We need a more rational debate about how and where we spend our finite health budget.
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HEALTH RATIONING – a series which examines Australia’s rising health costs and the tough decisions governments must make to rein them it. Any mention of the “R” word in health care immediately brings to…
Honorary Enterprise Professor, School of Population and Global Health, and Department of General Practice and Primary Care, The University of Melbourne